DR. LUKE JOSEPH MACMENAMIN (NPI# 1679645733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679645733 |
| Entity Type | Individual |
| Full Name | DR. LUKE JOSEPH MACMENAMIN |
| Credential | D.D.S. |
| Practice Address |
8401 Seasons Pkwy Woodbury MN 55125-3414 |
| Practice Telephone | 6517382341 |
| Practice Fax Number | 6517389048 |
| Mailing Telephone | 6517382341 |
| Mailing Fax Number | 6517389048 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D11556 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33797100 | 05 |
| Street Address |
8401 SEASONS PKWY |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427029073 | Christopher J French | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2006-01-31 |
| 1033451349 | Metropolitan Endodontics Ltd. | Dentist | 8401 Seasons Pkwy, Suite 400, Woodbury, MN 55125-3414 | 2013-03-25 |
| 1205008661 | Woodbury Endodontics, LLC | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2008-03-26 |
| 1457423519 | Steven Jay Rodenburg | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2006-11-14 |
| 1689746737 | Riad Emile Youssef | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2006-11-14 |
| 1104864529 | The Oral Surgery Center | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1649511585 | Kristopher Lee Hasstedt | Dentist | Dentists of Woodbury, 7150 Valley Creek Plaza Ste #230, Woodbury, MN 55125 | 2013-03-01 |
| 1518257542 | Christopher John Shearen | Dentist | The Oral Surgery Center, 8401 Seasons Parkway, Woodbury, MN 55125 | 2011-04-11 |
| 1891007670 | Slava Shapiro, Dds, Md, PC | Dentist | 167 Froehlich Farm Blvd, Woodbury, NY 11797-2906 | 2010-07-08 |
| 1316926017 | Timothy Allen Ackerman | Dentist | 9950 Valley Creek Rd Ste 100, Woodbury, MN 55125-5803 | 2006-01-11 |
| 1114451150 | Vicki Marie Schwartz | Dentist | 9950 Valley Creek Road, Suite 100, Woodbury, MN 55125 | 2017-04-17 |
| 1285179945 | True North Oral Surgery and Implants Pllc | Dentist | 9950 Valley Creek Rd, Suite 100, Woodbury, MN 55125-4883 | 2017-01-04 |
| 1841637295 | Travis Allan Johnson | Dentist | 9950 Valley Creek Rd Ste 100, Woodbury, MN 55125-5803 | 2013-05-24 |
| 1457423519 | Steven Jay Rodenburg | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2006-11-14 |
| 1689746737 | Riad Emile Youssef | Dentist | 8401 Seasons Pkwy, Woodbury, MN 55125-3414 | 2006-11-14 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.